DEXTER CLARKE MSW NPI 1962779793

NPI Information

Dexter Clarke, MSW is a residential treatment facility emotionally disturbed children in Bronx, NY. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. Dexter Clarke, MSW NPI is 1962779793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5050 ISELIN AVE
BRONX, NY
ZIP 10471-915
Phone: (718) 549-6700
Fax: (718) 796-4614

The enumeration date for this NPI number is 11/22/2011 and was last updated on 11/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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